Organization Active NPI

Advance Laser Therapy PLC

  • Physical Medicine & Rehabilitation Physician
  • Oak Park, MI
National Provider Identifier
1891407524
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ADVANCE LASER THERAPY PLC
Practice address
25591 Coolidge Hwy
Oak Park, MI 48237-1306
Phone
(248) 331-9490
Fax
(248) 331-9254
NPI assigned
Dec 13, 2022
Last updated
Dec 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mubashir Ali Sabir, MD
Title
Owner
Phone
(248) 331-9490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

25591 Coolidge Hwy
Oak Park, MI 48237-1306

Mailing address

25591 Coolidge Hwy
Oak Park, MI 48237-1306
Phone (248) 331-9490

Other practice location 1

26445 Gratiot Ave
Roseville, MI 48066-5108
Phone (248) 331-9490

Other identifiers 1

IdentifierTypeStateIssuer
802956372OtherMISTATE OF MICHIGAN LICENSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR Direct

National Provider Directory

National Provider Directory

Locations

25591 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 331-9490

26445 Gratiot Ave
Roseville, MI 48066
Phone (248) 331-9490

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1891407524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25591 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371306",
            "telephone_number": "248-331-9490",
            "fax_number": "248-331-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25591 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371306",
            "telephone_number": "248-331-9490",
            "fax_number": "248-331-9254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26445 Gratiot Ave",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480665108",
            "country_code": "US",
            "telephone_number": "248-331-9490",
            "fax_number": "248-331-9254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCE LASER THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "SABIR",
        "authorized_official_first_name": "MUBASHIR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-331-9490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN LICENSING",
            "identifier": "802956372",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25591 Coolidge Hwy",
            "city": "Oak Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482371306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.